Page 1 of 3 123 LastLast
Results 1 to 15 of 36

Thread: Hips

  1. #1
    Senior Member
    Join Date
    Sep 2004
    Location
    ny
    Posts
    627

    Hips

    Limped out of the 100-mile a few weeks ago, but deferred on Ktaadn due to pains in hips. I was diagnosed with arthritis in hips 3 years ago, but has never bothered me. Orthopod / x-rays indicate it's now time for a replace. Having problems arising from chair unless done just the right way.

    Anyone have any experience / advice? Do both at once, or just 1? Hardware? Recalls (Striker last year), Anterior, poterior, or lateral entry, etc.

  2. #2
    Senior Member psmart's Avatar
    Join Date
    Jan 2007
    Location
    Chocorua, NH
    Posts
    556
    My partner had both done in her late 40's. One hospital stay, with the two hips done 2 days apart, on her feet (briefly) the day after each surgery. Titanium with a replaceable polyethylene liner. 4" lateral incision. Ten years later, still very pleased with the results. Surgery was done by Dr Thomas King at Portsmouth Regional Hospital.

  3. #3
    Senior Member Stan's Avatar
    Join Date
    Sep 2003
    Location
    Newton, MA
    Posts
    2,449
    Quick advice based on my wife's experience after a replacement 15 years ago.

    They do double knee replacements routinely but I'm not sure they do that with hips because of the rehab process that follows. Get a good orthopedic surgeon with lots of experience and high reviews ... no, make that an outstanding surgeon ... they will select the joint based upon your specific needs etc. and they will also determine a procedure which good surgeons will discuss if you are interested in that detail. I don't believe those are generally patient decisions though someone proactive with their condition will likely be part of the decision process.

    My wife dislocated her hip after 15 years, most likely because she had torn some muscle that could no longer provide the full strength and support needed. After four dislocations in 8 months she had "revision" surgery on an otherwise tight hip joint ... so I guess, all other things being equal on the specific joint, one that comes with ... shall we say ... "replacement parts" might be a good consideration for future options as a revision is less problematic than another replacement.

    I believe the more muscular you are the quicker your recovery so as a hiker you already have an advantage but keep in shape beforehand.

    Best wishes.

  4. #4
    Senior Member
    Join Date
    Sep 2004
    Location
    ny
    Posts
    627
    Thanks. I'm seeing another orthopod tmrw at NYU Hospital for Joint Diseases. He / they have great record. Probably do only L as it is troublesome, and R is not presenting problems right now, so can use it to balance lack of horsepower on the L. May be less prone to dislocation as well. Also favor the anterior approach as there is no / very little muscle cutting involved - just pull / push them aside. The thought of having to contend with a healing butt muscle in addition to the hip is not the greatest thought.

    Unfortunately Ktaadn to finish NE 4000' has to wait till next year.
    Last edited by rup; 09-14-2015 at 01:46 PM.

  5. #5
    Senior Member
    Join Date
    Sep 2004
    Location
    ny
    Posts
    627
    Finally scheduled for asurgery on 11/10. I found today that the hospital wants to be paid ahead of time. What's that all about?

  6. #6
    Senior Member
    Join Date
    Sep 2004
    Location
    ny
    Posts
    627
    Today is the opr. Can't wait to get beyond it and finally tackle that last NE 4000 footer.

  7. #7
    Senior Member Kevin, Judy and Emma's Avatar
    Join Date
    Jul 2007
    Location
    Kingston, NH.
    Posts
    1,644
    Small world. Had my right hip replaced about 8am this morning at Portsmouth Regional in NH. So far, so good. Just took my second turn down to nurses station and back, felt like Washington in rotten snow/monorail. Suffered through it for a few years until I could barely walk and little sleep, very short hikes dwindling to almost none because of the pain. The pain right now isn't much worse than what I was already going through, though I'm pretty well drugged right now. Hope you are doing equally as well or better. Hoping it's all a bad memory in a month or so for both of us. Good luck!
    "Use what talents you possess- the woods would be very silent if no birds sang except those who sang best."

    Henry Jackson Van Dyke

  8. #8
    Senior Member
    Join Date
    Sep 2004
    Location
    ny
    Posts
    627
    Kevin - your history sounds like mine.

    Successful op, but stayed in hospital an extra night as my BP to 50/30 during initial PT routine - common for such ops. Hip still hurts, but it's surgical pain, and should pass in 2-3 weeks with PT. Nurses say to keep ahead of pain with meds - ie, don't wait for it to hurt. Should all pass in 2-3 weeks as the PT continues.

  9. #9
    Senior Member Stan's Avatar
    Join Date
    Sep 2003
    Location
    Newton, MA
    Posts
    2,449
    When my wife had her hip replaced, she was in so much pain that she almost regretted the surgery. It didn't take her long to wonder why she didn't do it sooner.

    I reminded her why ... it was the interim tequila therapy. It had worked and to this day I conclude all strenuous and not so strenuous activities with a tequila tailgate. Been working nicely for me.

    Happy healing to both of you and may you be trail worthy soon, no matter your medication plan.

  10. #10
    Senior Member
    Join Date
    Sep 2004
    Location
    ny
    Posts
    627
    10 days out, and I'm walking around the block.

  11. #11
    Senior Member Jazzbo's Avatar
    Join Date
    Jan 2005
    Location
    Waltham, MA Jazzbo & Marty meet Bigfoot on Kennebago Divide
    Posts
    1,133
    Time for an update from Kevin and Rup on hip surgery. I'm currently contemplating similar option for my left hip and could appreciate some comments. I've dialed back on my hiking objectives quite a bit and still had painful hike last Saturday. I function ok with normal activities like driving and household repairs and sitting at a desk, but it sucks doing only small hikes and even those can turn into a painful ordeal.
    On #67 of NE67
    On #99 of NEHH
    On #46 of WNH48

    An atom walked up to me and said "i think I've lost an electron"
    I said "are you sure?"
    It reply "I'm positive."

  12. #12
    Senior Member Kevin, Judy and Emma's Avatar
    Join Date
    Jul 2007
    Location
    Kingston, NH.
    Posts
    1,644

    Kevin's Comeback 2016

    After surgery on November 10th there were weeks of PT and I had to use a cane for several more weeks. I walked as much as I could stand and did my PT at home religiously along with the 2 visits to PT where they stretched me and introduced me to new exercises almost each trip. Each new exercise would be like a step backward, "Oh, I thought I was doing so good until I tried doing this." The answer, of course was, "You ARE doing good, and by next week this one will be a cinch."

    Around Christmas Eve I was itching to get out and actually hike something, walks in the park were no longer doing it for me. With longtime VFTT friends MJ & Sabrina and their dogs we hiked to the extreme summit of South Pawtuckaway. Man, it felt good to be in the woods again! A week later we took a longer hike at Ward & Boston Hill in Essex County, MA. I was feeling quite good, and 4 miles was doable, especially since we had a perfect carpet of frozen snow that we could walk on, perfect for micro-spikes, and it took all the rocks & roots out of the equation for me.



    On 1/5, 8 weeks to the day after surgery, I decided, (perhaps foolishly) that I was ready for a "mountain". Again with Sabrina and her dogs we set out to hike Gunstock & Belknap from the base of the carriage road. Though I had done this several times before, memory fades and I had forgotten how steep this hike on Gunstock Mtn Trail was, climbing 1400' in 1.1 mile. I survived, and I made it over to Belknap, and then Piper as well. Only 4.5 miles, but 1700 +/- elevation. I was sore for a few days afterwards, but I was using muscles I had not used in quite some time, not to mention the surgical pain.



    On 1/14 I was ready for some more, so Judy and I took a friend's dogs with us on a very icy trip to Morgan & Percival. I was pretty happy with surviving this, there was definitely some sketchy ice on the trails we had to be very careful while traversing.





    3 days later we were invited to join another longtime VFTTr with his dog Gryffin and another longtime hiking friend on a hike to Mount Jackson, my first post-surgery 4K hike. I was not sure I was ready, and probably would not have pushed myself that far that fast, but I did fine, though I opted out of visiting Webster that day.







    Since then we visited Welch/Dickey 1/27 and Mount Liberty 1/30. I feel like I am back to the form I was in almost 10 years ago. It was that long that I dealt with the pain. Since the surgery my twice operated on right knee is a lot less cranky, as well as my lower back, both of whom had become quite angry at always having to do the work my hip should have been doing. I exhausted all my options before giving in to the surgery, but needless to say, I am ecstatic I did! I am not saying it was an easy road, there were a lot of bumps and it took dedication to get better as quickly as I have, but it most certainly has all been worth it!










    KDT
    Last edited by Kevin, Judy and Emma; 03-01-2016 at 06:57 PM.
    "Use what talents you possess- the woods would be very silent if no birds sang except those who sang best."

    Henry Jackson Van Dyke

  13. #13
    Senior Member Jazzbo's Avatar
    Join Date
    Jan 2005
    Location
    Waltham, MA Jazzbo & Marty meet Bigfoot on Kennebago Divide
    Posts
    1,133
    Hi Kevin .... Thanks for your excellent comments. I'm very happy to hear how well you're doing both for your hard work and happy results and what it might mean for my own situation. I can understand what you mean by other joints picking up the load. I've been feeling pain in my knees since this started. Could make a great case for doing it sooner rather than later in order to conserve other joints.

    Ray
    On #67 of NE67
    On #99 of NEHH
    On #46 of WNH48

    An atom walked up to me and said "i think I've lost an electron"
    I said "are you sure?"
    It reply "I'm positive."

  14. #14
    Senior Member Kevin, Judy and Emma's Avatar
    Join Date
    Jul 2007
    Location
    Kingston, NH.
    Posts
    1,644
    Every single person told me, "Just do it, you'll wonder why you waited so long." I didn't listen, I was adamant about trying every option before giving in. I'll freely admit, part of it was I was afraid as well, there would be things I could no longer do, I was not ready to give up some things, like ice hockey, which so far, I have not returned to, but I HAVE been doing a lot of skating to build strength. When the decision was finally made to go through with the replacement surgery, the fear was replaced with determination that I would do everything in my control to being better. That was the only thing I could control, everything else was up to someone else, and that took a good deal of faith, but fortunately I was not let down.

    I received excellent pre-surgery instruction from Dr Gomburg and his crew, the surgeon did an excellent job, I got excellent care and help post surgery from Michelle and the other girls at Access Sports, and I was fortunate enough that my insurance covered it all. In retrospect, I am glad in unfolded as it did, and I did not rush into it. That said, I am equally as glad that it has made me feel better than i have felt in many years! Find a surgeon you're comfortable with. Find a hospital with a good reputation.

    If there is any question, the answer is "Just do it."

    KDT
    "Use what talents you possess- the woods would be very silent if no birds sang except those who sang best."

    Henry Jackson Van Dyke

  15. #15
    Senior Member
    Join Date
    Sep 2004
    Location
    ny
    Posts
    627
    Kevin - glad to hear of your progress. Must be great to be back in mts. Here’s my follow-up.

    Surgery on 11/10 was 'posterior'. I had 6 visits of at-home PT, and after my 6-week visit with surgeon Jan 4, started external PT 2x/wk. I've continued the stretching since the at-home sessions. I didn't set a do-or-die mileage target, but never had an issue with walking 1-2 miles – perhaps an occasional mild hip ache next day. But all that has passed. I had my 3 month follow-up with surgeon last week, and was oked to return to the gym and lift weights.

    To me, the key was to stretch every day (2-3x / day). I eventually got my L heel up to my R knee, so flexibility returned, although more slowly than I thought. The surgeon has removed all restrictions - except caution for extreme bending from waist coupled with extreme twist at hip - so some exaggerated yoga stretches are out (for now?). I was surprised to hear that some threat of dislocation persists - I thought the risk would ease as soft tissue repaired, and muscle re-developed. We'll see.

    So pretty much no problem now. Look fwd to the mts, and eventually to Ktaadn for my last NE4k. How long did it take you to get your endurance back?? Btw, for a recovery compare, how old are you? I’m 67.

    ps - My wife says the worst part of the experience was the first 3-5 days home after the hospital. I moved cautiously and slowly, and was somewhat immobile in bed with that foam 'Y' shaped foam pillow between the legs. I was up every 2 hours at night to pee (she was in charge of emptying the p-bottle), as the anesthesia worked out of system. They never told us about that at the pre-op coach class.
    Last edited by rup; 03-04-2016 at 06:09 PM.

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •